Dolan, Mark M

Dolan, Mark M is an sole proprietor health care provider with primary practice located at 1600 State St , Salem OR 97301-4257. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Dolan, Mark M can be contacted via phone (503) 540-6300.

Contact Information

Primary practice address
1600 State St Salem OR 97301-4257
Phone: (503) 540-6300
Fax: (503) 540-6404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 249195-1 New York
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X MD157386 Oregon

Profile Details

NPI number 1821251125
LBN Legal business name Dolan, Mark M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2008
Last updated Jun 10th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821251125 NPPES
Oregon MEDICAID 500646895

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